ZACKERY LAYNE BURKHOLDER

FOLKSTON, GA
NPI1720454085
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA25917)
Enumeration Date2015-08-20
Last Update Date2015-08-20
Business Address
-- ZACKERY LAYNE BURKHOLDER PTA
36261 OKEFENOKEE DR
FOLKSTON, GA 31537-7853
Phone number: 912-496-7396
Mailing Address
-- ZACKERY LAYNE BURKHOLDER PTA
10961 BURNT MILL RD APT 923
JACKSONVILLE, FL 32256-4667
Phone number: 863-832-3312
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